A study to determine the prevalence of post-partum haemorrhage among mothers at Ishaka Adventist Hospital, Bushenyi district, Uganda

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Kampala International University, School of Health Sciences
A retrospective study was carried out at Ishaka Adventist hospital (IAH), Ishaka town, Bushenyi district, at identifying the prevalence of post-partum hemorrhage among mothers who attended. All files/ records were reviewed dating a year back from the day of actual data collection (i.e. from May 2013 to May 2014, total of 100 files were picked out from which the patients with the required data were reviewed. Postpartum Haemorrhage (PPH) is defined as a blood loss of 500 ml or more within 24 hours after birth. PPH is the leading cause of maternal mortality in low-income countries and the primary cause of nearly one quarter of all maternal deaths globally. Most deaths resulting from PPH occur during the first 24 hours after birth: the majority of these could be avoided through the use of prophylactic uterotonics during the third stage of labour and by timely and appropriate management. In this setting, the most affected age group was that between 20-29 having a cumulative frequency of 53%. This was associated with a low educational status (54% of respondents). Globally, uterine atony is the major cause of PPH. Our research established a higher prevalence of Retained Products of Conception (RPOC) coupled with trauma. There is also an association between grand multiparity and occurance of PPH. The popularity of management options vary from usage of both uterotonics plus other methods used to achieve hemostasis (46.19%), use of uterotonics only (22.34%), while a small portion (2.03%) needed hysterectomy. The prognosis was good for the majority (89%) of the mother. As a public health concern, emphasis should be made on community sensitization on the importance of having a planned hospital delivery, provision of safe and quick emergency medical help, the reduction in hospital costs as well as provision of accessible medical help to facilitate a quick help, hiring of more qualified personnel capable of handling such emergencies and the training of more traditional birth attendants because they are the ones in closer contact with the community and can, therefore, provide more immediate help.
A research report submitted to the Faculty of Clinical Medicine and Dentistry of in partial fulfillment of the requirements for the award of a degree of Bachelor of Medicine and Surgery of Kampala International University
Post-partum haemorrhage, Post-partum haemorrhage among mothers, Ishaka Adventist Hospital, Bushenyi District